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Remittance, EOB vs ERA and Payment Posting

How payment comes back: the member's Explanation of Benefits, the provider's 835 ERA, adjustment reason codes, and how payments get posted.

Remittance, EOB vs ERA and Payment Posting

Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.

What this post will cover

  • Explanation of Benefits (EOB) vs Electronic Remittance Advice (ERA)
  • Electronic funds transfer (EFT) and matching payments to remits
  • Claim adjustment group codes, CARCs and RARCs
  • Payment posting and reconciliation
  • Spotting underpayments

Further watching

From the HealthTech Decoded channel:

Where this fits

Level 2 · Core workflows › Revenue cycle, coding and claims

This post is licensed under CC BY 4.0 by the author.